Loading...
HomeMy WebLinkAboutBuilding Permit Application Feb 2516 07:34a HonestAir,.lnc. 772-232-1118 p.1 ALL APPLICABLE INFO MUST BE COMPLETED F®R APPUCATIOM TO BE ACCEPTED 04 Date: Permit number: � © ' Bulfidang Permit Application Planning and DevelopmentServices l Building and Code Regulation Division 2300 Wrginia Avenue,Fort Pierce FL 34982 J� phone:(772)46215S3 Fax:(772)462-1578 Commercial RBSideniiBi i a PCRM T A7PPLiCATi0N FOR: To Select t-om dropbox, click arrow at the enol of line PROPOSED IMP- OVEiM'E=- !:T'LOCATIOU� I` Address: �- 30 e Legai Description: ' (t Property Ta>;ID;r 319-A Lot Seo_ ' i� Site Plan name:. Block no. Project name: Setbacks Front Back: Right Side: Left Side: ;^ I RETAILED DESCRiPTION'0FMORl<: CONS T RISC T ION NFORmATION: Aa itrona work to be perlorrneC un ert rs permit—check a appy: ZHVAC Gas Tank ❑Gas Piping _Shutters .Windows/Doors Electric E:Plumbing Sprinklers Generator Roof y1 otal Sq.Ft of Construction: S .Fi.of First Floor: , Cost of Construction:$ � I utinties:]5ewer 0—Septic Building Height: OWNER/LESSEE:: CONTRACTOR: . NamE ' ^' - E Com an Address: �' _ � Her p Y� Cita , State:rFL Address Zip Code: — Fax: City: 4l a State: Phone no. �(.. p �_ Zip Code: Fax: ✓���� E-Mail: -2 Phone No. .y I Fill in fee sfinple Title Holder an nent page(if different E-Mail: am the oviner liis ed alr®veb State or County License: If value of construction is$2500 or more,a RECORDED[notice of Commencement is required. 6 ;,I Feb 2516 07:34a Honest Air, Inc, 772-232,1 118 p2 SUPP'L1=itt11_NTAL•CONSTRUCT.I.0 N.,L1EN'LAilif INFOR-MA* C3ON. Jf DESIGNER/E.NGINEER: Not Applicable � MORTGAGE COMPANY.- ,_Not Applicable Warne• _._. game: I Address: Address: City State: City: I State: y Zip: Phone: Zip: Phbne: i FEE SOMPLETITLE HOLDER: Not Applicable BONDING COMPANY: k Not Applicable " Name: Name: Address: Address: City: City: Zig: Phone: Zip: Phone: ry I certifir that no work or installation has commenced prior to the issuance of a permit. 8 St.Lucie Countv makes no representation that is granting a permit will authorize theermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or andcovenantsthat may restrict or prohibit such r structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the woric I in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.l The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming.pools,fences,wafts,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failura to Record a Notice of Commencement may result in your paying twice for improvements to your property.A Notice Of Commencement roust be recorded and posted on the jobsite before the first irnsp cti n.If you intend to obtain financing,consult with lender or an attorney before commencing=46r ribocding vourrNotice of Commencement. s 1 _Signature of Own r1 les Agent Signature of Contra or/Lie dider STATE OP !®A" .. ST ATE OF FLC�1Ne�A , COUNTY OF COUNTY OF The for ping instrument was acknowledged before me The forgoing instrument was acknawiedged,before me this L day of . ZO Eby this day of 2C by a (Name of person acknowledging) (Name of person acknowledging) (Signature off Notary Pu -State of F rida (Signature of Nota ublic-State f Florida) x Personally Known roduced identification Personally Knounsaduced identification Type of identification Produced Type of Identification Produced , Commission 140. lop? ommissian No. CHRIS VIOC)DBERRY a+;grr'a, CHR S IN OOSERRY commission#FF 908943 ?w 6mmission A FF 908943 ' Expires August t , 2 xpites ugus , i Revised.0711512014 g„ 0—d A1P.7m FO1:,am.arms 03lS74S8 wF"'�i, wtF` tiodmTMTtpy8D63d5AJ1D II REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ! COMPLETE iINITiALS i 7.